Physical Examination and Health Assessment 8th Edition 0323510809
Chapter 04: The Complete Health History Jarvis: Physical Examination and Health Assessment, 8th Edition MULTIPLE CHOICE 1. The nurse is preparing to conduct a health history. Which of these statements best describes
the purpose of a health history? a. To provide an opportunity for interaction between the patient and the nurse b. To provide a form for obtaining the patient’s biographic information c. To document the normal and abnormal findings of a physical assessment d. To provide a database of subjective information about the patient’s past and current health ANS: D
The purpose of the health history is to collect subjective data—what the person says about him or herself. The other options are not correct. Although conducting a health history allows the nurse an opportunity for interaction with the patient and a method for obtaining a patient’s biographic data, the purpose of the health history is to collect subjective data—what the person says about him or herself. The other options are not correct. The documentation of normal and abnormal findings of a physical assessment is part of the physical examination. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Health Promotion and Maintenance 2. When the nurse is evaluating the reliability of a patient’s responses, which of these statements
would be correct? a. Patient has a history of drug abuse and therefore is not reliable. b. Patient provided consistent information and therefore is reliable. c. Patient smiled throughout interview and therefore is assumed reliable. d. Patient would not answer questions concerning stress and therefore is not reliable. ANS: B
A reliable person always gives the same answers, even when questions are rephrased or are repeated later in the interview. The other statements are not correct. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Health Promotion and Maintenance 3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having “black
stools” for the last 24 hours. How would the nurse best document his reason for seeking care? a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis. b. J.M. came into the clinic complaining of having black stools for the past 24 hours. c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. d. J.M. is a 59-year-old man who states that he has been having “black stools” for the past 24 hours. ANS: D
Chapter 4 - The Complete Health History
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